McGraw Wentworth Mid-Market Group Benefits Survey Shows Health Care Costs Increasing...

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Mon May 18, 2009 10:59am EDT

McGraw Wentworth Mid-Market Group Benefits Survey Shows Health Care Costs
Increasing at 6-Year Low of 5%

TrendBenders(TM) --- top-performing organizations decreased costs by an
average 1% over two years --- by managing eligibility, using spousal
surcharges, and wellness initiatives including smoker surcharges.

TROY, Mich., May 18 /PRNewswire/ -- McGraw Wentworth, Michigan's largest
employee group benefit brokerage/consulting firm, today released the results
of its 2009 Southeast Michigan Mid-Market Group Benefits Survey. The survey
compares health benefits and trends for the current year among 394 southeast
Michigan-based organizations with 100-10,000 employees. Highlights of the
survey results show that health care benefits costs for Michigan employers
after plan design changes are increasing in 2009 at an average rate of 5%, the
lowest rate of increase in the survey's 6-year history, and lower than the
projected national rate of 6.4%.  

Survey findings reveal that Michigan employers, whose benefits plans have been
traditionally richer, are coming into closer alignment with national
benchmarks by, among other things, changing PPO plan designs and moving away
from 100% coverage levels in HMO plans. Findings also show: increased
enrollment in consumer driven health plans (CDHPs) where employees assume
greater financial and health care purchasing responsibility; an increase in
spousal eligibility restrictions; tighter management of coverage-eligible
individuals; and an increase in the use of smoker surcharges. 

"For the first time since the survey's launch in 2004 we are seeing the rate
of benefit cost increases actually slow down in Michigan," said Rebecca
McLaughlan, managing director, McGraw Wentworth. "Spousal surcharges, the
additional amount employees pay to carry a working spouse on a plan, and other
eligibility management strategies such as dependent audits are growing in
use." 

The survey identifies 80 top-performing organizations called TrendBenders(TM)
that have been successful in keeping their benefit cost increases even lower
--- actually decreasing by an average 1% over two consecutive years.
TrendBender(TM) strategies include:  aggressively implementing cost-sharing
and cost-saving measures such as higher employee coinsurance; eligibility
management strategies including dependent audits and spousal surcharges that
average higher at $134 per month; and investing in wellness initiatives.

"TrendBenders(TM) have decreased costs because they do not offer a free plan
option, are more committed to CDHPs, offer and fund Health Savings Accounts,
and invest in wellness," explains McLaughlan.  " TrendBenders(TM) pay lower
premiums and tend to have a higher rate of employees selecting consumer driven
health plans." 

The survey analysis also provides a Total Cost Ratio comparing what Michigan
employers and employees pay in total for PPO, HMO or CDHP coverage in 2009.
The Total Cost Ratio in 2009 for a median PPO Plan for an individual was $532
per month of which the employer paid 59% or $315 in premiums and the employee
paid 41% or $217, a combination of payroll deduction ($98) and deductibles and
co-pays ($119). In 2004, the Total Cost Ratio was $382 per month( employer
paid 67%; employee paid 33%).

"Employers and employees are seeing higher dollar costs," said Karen Alter,
account director with McGraw Wentworth and survey leader. "While employee
cost-sharing is increasing, employers are also building in incentives to
direct employees to the right place for the right care such as increasing
co-pays for emergency room care to $75 versus lower co-pays of $20 to $30 for
office visits."    

The McGraw Wentworth Mid-Market Group Benefits Survey is the largest of its
kind with 636 mid-sized employers participating including 394 southeast
Michigan organizations. Respondents represent diverse industries with 30%
having some unionized employees; 29% of respondents are considered auto
suppliers. The survey has a 4.4% margin of error. 

"With the survey data in hand, a Michigan employer will have a valuable,
statistically valid tool to evaluate plan designs and cost sharing strategies
for 2010 and beyond.  It is particularly relevant in a challenging economic
environment in which employers are trying to balance aggressive cost
management with the needs of their employees," said Alter.

Survey results will be shared with  participants during May and June. The
survey is sponsored by McGraw Wentworth, Michigan's largest employee group
benefit consulting and brokerage firms with offices in Troy and Grand Rapids.
For information, contact Ryan Bowers at (248) 822-6231 or visit
mcgrawwentworth.com.

SOURCE  McGraw Wentworth

Ryan Bowers, +1-248-822-6231, for McGraw Wentworth
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